Stress management for post-myocardial infarction patients



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This nonrandomized pretest-posttest design study attempted to evaluate the effectiveness of stress management as a psychological intervention for post-myocardial infarction (MI) patients. Forty subjects (Ss) admitted to the Houston Veterans Administration Medical Center Cardiac Rehabilitation Program were evenly divided into a patient education control group and a stress management treatment group. All Ss were exposed to one introductory session and eight group sessions. The stress management procedures emphasized development of self-control over the stress experience by increased awareness of stress indicators and practice of appropriate coping skills. All Ss completed the following psychological tests on the first and last day of participation: State Anxiety Inventory, Hopelessness Scale, Moos Coping Scale, Health Locus of Control and the Type A Behavior Inventory. In addition, on alternating days, all Ss completed either a short version of the Profile of Mood States (POMS) or the Daily Experience Record (DER). The Staff Observation Scale (SOS), a behavioral rating scale, was completed by two raters on all Ss on alternate days of their participation. Cardiac status was assessed on all Ss throughout the study. [...]



Myocardial infarction, Postoperative care, Stress (Psychology)